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Individual

DEBORAH HEWITSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11150 WINDSOR RD, IJAMSVILLE, MD 21754-8912
(240) 236-5000
Mailing address
11150 WINDSOR RD, IJAMSVILLE, MD 21754-8912
(240) 236-5000

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06077
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
541628100
MD
Enumeration date
12/05/2018
Last updated
12/05/2018
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